artiste manual 0314 - synca

TechniqueManual

The Beauty of Simplicity

™

The Beauty of Simplicity

Document 2 2/19/07 3:21 PM Page 1

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Introducing Artiste™

Nano CompositeI

20 Dentin/Body ShadesArtiste Dentin/Body shades directly corre-

spond to the standard Vita® shade guide

and the Vita® 3-D Bleach guide for

reliable and easy shade selection.

Each shade has been carefully

formulated to blend easily with

natural dentition as the primary

dentin replacement material. Due to the

advanced optical properties and unique

“chameleon” effect inherent in their formulation, Artiste Dentin/Body shades

draw in the color of the surrounding cavosurface margin to generate nearly

seamless restorations even when a polychromatic restoration is not required

due to location or visibility in the smile line.

5 Translucent Enamel Shades The 5 Translucent Enamel Shades provide

the magic of the Artiste™ System!

The optical properties of the

translucent Enamel material

impart a true polychromatic effect

with little to no effort on the part of

the clinician. Each Vita® shade class

(A, B, C, D, & Bleach) is represented, and

the optics of each enamel is perfectly formulated

to work with each corresponding range of Dentin/Body shades. Whether the

Dentin/Body Shade is A-1, A-3 or any Vita® A shade, the recommended

corresponding translucent Enamel shade is “A Enamel.” Of course, this “recipe”

is only a guide. Clinicians can and should exercise visual observation before

placing the final enamel layer and remain flexible with the final translucent

Enamel choice to meet the final optical requirements of the case.

No technical or “artsy” shade names come attached to the Artiste

System, just simple, intuitive nomenclature that makes good sense for

quick shade selection and highly esthetic results.

C O M P O N E N T Sof the Artiste™ Nano Composite System

Artiste Manual_0314 3/20/07 10:39 AM Page 7

9

Introducing Artiste™

Nano CompositeI

To intensify color at the incisal edge, the tints are applied sparingly prior to the

enamel overlay to impart subtle to more striking internal color effects in the final

restoration. When applied using the simplified Artiste Technique, even the

mundane Class IV restoration becomes a work of art!

Notice in the natural tooth below, the presence the edge effects and internal

characterization that correspond to some of the Maverick Tints provided with

the Artiste System.

Grey Effect

White Opaque Effect

Blue Effect

White Opaque Effect

Yellow Effect


is opacity. Opacity is defined as the amount of light that is reflected back from

an object that affects our perception of its depth. An object that is translucent

has a level of transparency as light is transmitted through the object and we

perceive depth with a potential ability to see through the object. Clear glass

transmits 100% of light; it is transparent and we can see straight through it. An

object that is 100% opaque, reflects 100% of light and we perceive it as solid

with no depth.

With these concepts of color and opacity, we can better understand not only

the structure of the natural tooth, but how the materials that compose it con-

tribute to its natural appearance and beauty. It is the recreation of the natural

anatomy of a tooth with regard to hue, chroma, value and opacity that makes

a dramatic difference in the beauty and vitality of a direct composite restoration.

What is “Layering”?The art of placing layers, or increments, of var-

ious shades and opacities is not new to dentistry;

it was perfected many years ago by dental labora-

tories through their production of highly esthetic

ceramic restorations. However, the concept of

replacing tooth structure with direct composite

materials that optically match the structure being

replaced is still foreign to many dentists today.

The concept of direct composite layering is simple. There are 3 optically

distinct layers that make up the primary structure of the natural tooth:

1. Enamel - An optically translucent material with only a minor degree of

intrinsic hue, natural enamel varies in thickness from the cervical third to

the incisal edge becoming thickest in the incisal third. Enamel provides

enough transparency at the incisal edge for edge effects to be readily

seen against the dark oral cavity.12

IIThe Artof Layering

TRANSPARENTOPAQUE

T H E R AT I O N A L Efor Polychromatic Layering


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The Artof LayeringII

2. Intermediate or Shallow Dentin – This superficial dentin layer is

responsible for imparting 98% of the perceived color of natural dentition.

Unless intrinsic stains are present, intermediate dentin is consistently

monochromatic.

3. Deep Dentin – Deep dentin is usually more opaceous and more

chromatic than intermediate dentin. This anatomical layer rarely influences

the appearance of the natural tooth unless genetic or developmental

staining is present or staining has been imparted by heavy metal pigments.

In natural teeth, each layer possesses unique color characteristics and optical

properties that yield the polychromatic natural work of art that we see in human

dentition.

Artiste Nano Composite and its corresponding technique are

designed to recreate the anatomy of natural dentition in the simplest

way feasible. In reality, this technique is really an “anatomical” technique. Each

of the 3 opacities provided in the Artiste System (Opaque, Dentin/Body and

Enamel) is optically formulated to replicate the corresponding layer of natural

dentition. When placed in anatomical layers mimicking the structure of natural

teeth, a vital, esthetic, natural-looking restoration is readily and reliably created.

Deep Dentin

IntermediateDentin

Enamel

Deep Dentin

IntermediateDentin

Enamel

Anterior Tooth Cross Section Posterior Tooth Cross Section


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IIIAnatomyReference Guide

Maxillary Central IncisorsPrimary Anatomy

Maxillary Central IncisorsSecondary Anatomy

Maxillary RightLateral/CaninePrimary Anatomy

Maxillary RightLateral/CanineSecondary Anatomy


3 Mask any internal stains or undesirable substrate

Most veneer restorations will not

require the use of Opaque com-

posite materials. If deep intrinsic

stains that must be 100% masked

exist, use an opaque Maverick

Tint. These unique flowable opaques

are capable of masking even the

darkest stains in very thin applica-

tions as demonstrated here. Simply etch, apply Bond-It® or Bond 1® adhe-

sive, light cure, and syringe the Opaque Maverick Tint through the sup-

plied 20 gauge tip. Smooth with a sable brush as needed. Light cure for

40 seconds and proceed to layer the restoration.

4 Isolate and etch the tooth to

be veneered

Use Teflon®* “Plumber’s Tape” (com-

mercially available at hardware

stores) or dead-soft foil to prevent

the adjacent teeth from coming

into contact with etchant and

bonding resin. Apply etch gel to the

buccal and lingual surfaces for 15 seconds. Rinse thoroughly, then remove

plumber’s tape or dead-soft foil.

Clinical Tip: If the adjacent teeth are properly isolated, the remainder of

the restoration can be shaped to direct contact with the adjacent teeth

without the use of wedges and mylar.

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IVClinicalTechnique

*Teflon® is a registered trademark of E.I. du Pont de Nemours and Company


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ClinicalTechniqueIV

5 Apply bonding agent

Apply 2–3 consecutive coats of Bond 1® Primer/Adhesive, allow to

“dwell” for 10 seconds, air thin, then light cure for 10 seconds.

6 Apply the Artiste Dentin/Body layer in the selected shade

Using a spatula, composite instrument or silicone-tipped applicator, adapt

the Artiste Dentin/Body to the margin. The viscosity and handling of

Artiste Nano Composite permits the even spreading of the material across

the tooth without sticking or slumping.

6a. Cervical Third

Keep in mind that in order to

achieve higher chroma or satura-

tion in the cervical third, the dentin

body layer is brought to the full

facial plane in this region.


artiste manual 0314 - synca

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